PHN III

Rockingham County is an equal opportunity employer and will comply with federal and state statutes regarding discrimination in employment.

This posting is continuous and will remain posted to fill vacancies as they become available.  Applicants that apply to this posting will be considered for any vacancies of this type and will only need to apply once. 

• Paid Medical, Dental, Vision & Life Insurance
• Onsite wellness/medical clinic
• Onsite fitness center
• Retirement
• Flexible Spending
• Paid Vacation, Sick & Holidays
• Bereavement
• Community Service Leave
• Weekends Off (varies by position)
• Flexible Work Schedules & Telework Options (varies by position)
• Tuition Reimbursement
• 401-K & 457 Plans with county match up to 1% of base salary

DESCRIPTION OF WORK
Performs to duties and responsibilities as the coordinator for the Maternal Health Home Visiting Program. Coordinates the identification, planning and execution of community based public health initiatives to include home health services and utilization of services performed on the mobile medical unit. Annually reviews and updates the program policies and standing orders. Assists with entering communicable disease event data in the State’s reporting system. The position works under the limited supervision of the Director of Nursing.

DUTIES AND RESPONSIBILITIES

Percentage	Description of Duty
40%	Post-Partum Newborn Nurse:  Receives and picks up referrals and demographic information for post-partum Mothers and newborns. Contacts Mothers to schedule home visits, assemble educational material packets for home visits, provides in-home nurse visits, and assesses the health of the mother and the infant.  Educates, intervenes, and refers to resources and services as needed.  Informs physicians and pediatricians of visit assessment and findings and enters notes on both the mother and infant into the Electronic Health Record, and makes referrals as needed.  Prints copies of notes for billing and faxes to both the mother and Infant’s physicians. Maintains and replenishes supplies for visits. Cleans and sanitizes equipment after each visit and maintains equipment batteries, service, and control checks. Maintains county issued vehicle fuel level, tire, and oil service maintenance, and take for repairs and services as needed.
25%	Community Outreach: Identification, planning, and execution of community based public health initiatives to include home health services and mobile medical unit.
10%	Lead Case Management Nurse:  Receives and reviews lead records and lead level results from pediatrician’s offices and from the NC Lead website. Makes appropriate calls to obtain contact information for parents/guardian of children, makes calls, ad contacts parents or pediatrician’s offices to assure that follow-up testing is scheduled as appropriate, writes letters, and mails them to those in which phone contact is not obtained. Provides education and counseling to assist with the removal and management of lead source, documents in the NC Lead Program website and the E.H.R. for lead case management. Provides in-home lead case investigations in conjunction with Environmental Health to assist with identifying the lead source, complete forms, obtain consent, and educate/counsel as appropriate for intervention. Makes referrals as appropriate for follow-up testing, state investigations, and additional needs as appropriate.
10%	Provides back-up support and client management for Communicable Disease/TB Program as required by state agreement addenda.
5%	Apprises administration of needed infection control policy revisions.  Monitors and analyzes accident reports related to infection control. Develops strategies and recommends changes in practices if necessary to reduce or eliminate further accidents of similar nature in collaboration with the County Safety Risk Manager. Serves on the EPI Team. Coordinates annual training required for the agency staff. Coordinates with the Lab Supervisor annually to review equipment and supplies based on surveys conducted by program staff.
5%	Performs state mandated certification and recertifications, assessments, monitors, audits and serves as a Consultant for the Adult Day Care/Health Facilities within Rockingham County.
5%	Other duties for nursing division program support as assigned by Director of Nursing.
Must equal 100%

SUPERVISION:
Received:  Works under the Supervision of the Public Health Nursing Director. 
Supervision Given: (If supervisor list positions supervised) 
Position has no supervisory responsibilities.

INTERPERSONAL CONTACT:

• Communicates externally with medical providers, various agencies within the County, and the General public. 
• Communicates internally with co-workers, various Boards, County Administration, Board of Commissioners, etc.

RECRUITMENT STANDARDS (Core Competencies): 

• Mathematical skills.
• Effective communication orally and in writing.
• Medical knowledge.

Knowledge, Skills, and Abilities:

• Thorough knowledge of County and Department policies and procedures.
• Thorough knowledge of NC Communicable Disease laws, state program mandates, and NC Nursing Rules.
• Thorough knowledge of practical nursing techniques and the care and treatment of all types of clients.
• Thorough knowledge of sanitation, personal hygiene, basic health, and safety practices.
• Through knowledge in preparing reports and other types of correspondence.
• Skill in preparing and administering medications and general knowledge of proper dosage, effects, and contradictions.
• Thorough knowledge of immunizations.
• Thorough knowledge of and in the operation of the equipment required for the position.
• General knowledge of the use of standard office equipment and associated software.
• Ability to make astute observations of patient's conditions and to report changes accurately.
• Ability to understand, interpret, and relate oral and written instruction.
• Ability to make arithmetic computations.
• Ability to communicate effectively in oral and written form.
• Ability to establish and maintain effective working relationships with patients, medical personnel, and other employees.
• Ability to prioritize communicable disease event investigations based on the threat to the public.
• Skilled in the application of nursing practices and techniques as they apply to the public health services. 

The Americans with Disabilities Act (ADA)

1. Physical Activities, Visual Acuity, and Working Conditions for this Position.

Physical Activities of This Position (Check ALL that apply):
X	A.	Climbing - Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion
X	B.	Balancing - Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium
X	C.	Stooping - Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles
X	D.	Kneeling - Bending legs at knee to come to a rest on knee or knees
X	E.	Crouching - Bending the body downward and forward by bending legs and spine
	F.	Crawling - Moving about on hands and knees or hands and feet
X	G.	Reaching - Extending hand(s) and arm(s) in any direction
X	H.	Standing - Remaining upright on the feet, particularly for sustained periods of time
X	I.	Walking - Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another
X	J.	Pushing - Using upper extremities to press against something with steady force to thrust forward, downward, or outward
X	K.	Pulling - Using upper extremities to exert force to draw, drag, haul or tug objects in a sustained motion
X	L.	Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles
X	M.	Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with whole hand or arm as in handling
X	N.	Grasping - Applying pressure to an object with the fingers and palm
X	O.	Feeling - Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips
X	P.	Talking - Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly
X	Q.	Hearing - Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communications, and making fine discriminations in sound
X	R.	Repetitive Motions- Making substantial movements (motions) of the wrists, hands and/or fingers

Physical Requirements of This Position (Check only ONE)
	A.	Sedentary Work- Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met
X	B.	Light Work- Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that of Sedentary Work and the worker sits most of the time, the job is rated for Light Work
	C.	Medium Work- Exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects
	D.	Heavy Work- Exerting up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects
	E.	Very Heavy Work- Exerting more than 100 pounds of force occasionally, and/or more than 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects

Visual acuity requirements including color, depth perception and field of vision (Check only ONE)
X	A.	Employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts and/or operation of machines (including inspection); using measurement devices and/or assembly or fabrication of parts at distances close to the eyes
	B.	Employee is required to have visual acuity to perform an activity such as: operating machines such as lathes, drill presses, power saws and mills where the seeing job is at or within arm’s reach; performing mechanical or skilled trade tasks or a non-repetitive nature such as ones by carpenters, technicians, service people, plumbers, painters, mechanics, etc.
	C.	Employee is required to have visual acuity to operate motor vehicles or heavy equipment
	D.	Employee is required to have visual acuity to determine the accuracy, neatness and thoroughness of the work assigned (i.e., custodial, food services, general labor, etc.) or to make general observations of facilities or structures (i.e., security guard, inspection, etc.)

The conditions the worker will be subject to in this position (Check ALL conditions that apply)
X	A.	Employee is subject to inside environmental conditions: Protection from weather conditions but not necessarily from temperature changes
	B.	Employee is subject to outside environmental conditions: No effective protection from weather
X	C.	Employee is subject to both environmental conditions: Activities occur inside and outside
	D.	Employee is subject to extreme cold: Temperatures typically below 32 degrees for periods of more than one hour. Consideration should be given to the effect of other environmental conditions such as wind and humidity
	E.	Employee is subject to extreme heat: Temperatures above 100 degrees for periods of more than one hour. Consideration should be given to the effect of other environmental conditions such as wind and humidity
	F.	Employee is subject to noise: There is sufficient noise to cause Employee to shout to be heard above the ambient noise level
	G.	Employee is subject to vibration: Exposure to oscillating movements of the extremities or whole body
	H.	Employee is subject to hazards: Includes a variety of physical conditions, such as proximity to moving mechanical parts, moving vehicles, electrical current, working on scaffolding and high places, exposure to high heat or exposure to chemicals
	I.	Employee is subject to atmospheric conditions: One or more of the following conditions that affect the respiratory system of the skin: fumes, odors, dust, mists, gases, or poor ventilation
	J.	Employee is subject to oils: There is air and/or skin exposure to oils and other cutting fluids
	K.	Employee is required to wear a respirator
	L.	Employee frequently is in close quarters, crawl spaces, shafts, manholes, small, enclosed rooms, small sewage and water line pipes and other areas, which could cause claustrophobia
	M.	Employee is required to function in narrow aisles or passageways
X	N.	Employee is exposed to infectious diseases
	O.	Employee is required to function around prisoners or institutional patients
	P.	None: Employee is not substantially exposed to adverse environmental conditions (typical office or administrative work)

Minimum Education and Experience: Associates’ degree in nursing, or related field and one (1) – four (4) years of directly related experience and some supervisory experience in related field or equivalent combination of education and experience.

License or Certification Requirements:

• Valid NC Driver's License.
• Register Nurse upon hire.
• Certified in Basic Life Support (BLS) upon hire.
• Certified in the Principles and Practices of Public Health Nursing or the ability to obtain within one (1) year of employment.

Supplemental Information
 Note: In accordance with State mandates and the Rockingham County Emergency Operations Plan, Rockingham County Health and Human Services staff from the Divisions of Social Services, Public Health and Integrated Health are required to staff emergency shelters during times of disaster. Please be advised that every staff person is eligible to be assigned to an emergency shelter or Emergency Operations Center.

Salary : $62,665